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Contact Information

JENNIFER L CODY
2583 CHOF TRL
FLAGSTAFF, AZ86005-3737
 Phone: 928-660-2627
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
 

Respite Care, Mental Illness, Child

385HR2055X
Indicates primary specialty

NPI Profile & details for JENNIFER L CODY · (Female)

NPI Number 1275005068
Status Active
Credentials
Entity Individual
Enumeration date 12/18/2018
Last updated 02/03/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 7682709
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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